DR. THOMAS W MCCORMACK JR. (NPI# 1740298728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740298728 |
| Entity Type | Individual |
| Full Name | DR. THOMAS W MCCORMACK JR. |
| Credential | MD |
| Practice Address |
1361 Jennings Mill Road Building 200 Suite 201 Bogart GA 30622 |
| Practice Telephone | 7063161908 |
| Practice Fax Number | 7063162062 |
| Mailing Telephone | 7063161908 |
| Mailing Fax Number | 7063162062 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
GA051255 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00958625A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255768677 | Thomas D. Mccormack | Hearing Instrument Specialist | 1269 Memorial Dr., Chicopee, MA 01020 | 2013-09-30 |
| 1669619029 | Thomas Michael Mccormack | Acupuncturist | 1707 Cunliff Ln, Sarasota, FL 34239-4420 | 2009-01-07 |
| 1134450570 | Thomas Bernard Mccormack Jr. | Pharmacist | 210 S Pine St, Burlington, WI 53105-1914 | 2010-01-25 |
| 1194985358 | Thomas Mccormack | Physical Therapist | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2008-06-11 |
| 1134263304 | Thomas Mccormack | Social Worker | 1 Cate St, Portsmouth, NH 03801-7108 | 2007-02-19 |
| 1225080005 | Thomas J. Mccormack | Family Medicine | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2006-05-17 |
| 1508821596 | Thomas M Mccormack | Neurological Surgery | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 | 2006-04-20 |
| 1972581353 | Thomas J Mccormack | Orthopaedic Surgery | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-01-05 |
| 1851397327 | Thomas P Mccormack | Specialist | 60 Brigham St, New Bedford, MA 02740-2208 | 2005-06-21 |
| Street Address |
1361 JENNINGS MILL ROAD BUILDING 200 SUITE 201 |
| City | BOGART |
| State | GA |
| Zip Code | 30622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760504641 | Andrew Philip Heidesch | Marriage & Family Therapist | 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 | 2007-04-04 |
| 1629109863 | Deborah C Miller | Registered Nurse | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2007-03-08 |
| 1477667319 | Edward J Fisher Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108266 | Catherine Colquitt | Specialist/Technologist | 1081 Rocky Branch Rd, Bogart, GA 30622 | 2017-07-27 |
| 1154864775 | Hampton Valley Health Center, Inc. | Chiropractor | 2881 Monroe Highway, Suite 701, Bogart, GA 30622 | 2016-11-30 |
| 1659308872 | Blue Laser Group | Ophthalmology | 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 | 2006-06-26 |
| 1225076821 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1751 Meriweather Dr, Bogart, GA 30622 | 2006-06-03 |
| 1205837374 | Terrance L Hughes | Specialist | 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 | 2005-08-10 |
| 1922590892 | Inside Out Therapy Services | Occupational Therapist | 1450 Eden Ave, Bogart, GA 30622 | 2018-06-05 |
| 1144517038 | Gentry Broach Tolbert | Nurse Practitioner | 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | 2011-06-30 |
| 1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
| 1356447106 | Margaret Coghill Reinberger | Physical Therapist | 1551 Jennings Mill Rd, #1700a, Bogart, GA 30622 | 2006-09-16 |
| 1598872210 | Pharmaceutical Specialties LLC | Pharmacy | 150 Cleveland Rd, Ste B, Bogart, GA 30622 | 2006-08-25 |
| Find all providers in zip 30622 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026347 | Athens Behavioral Medicine | Psychiatry & Neurology | 1361 Jennings Mill Rd, Ste 201, Bogart, GA 30622-2592 | 2007-04-26 |
| 1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
| 1477667319 | Edward J Fisher Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021390 | Psychemic | Psychiatry & Neurology | 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 | 2020-10-19 |
| 1962010975 | Beatrice Nduwimana | Psychiatry & Neurology | 3499 Henley St, Rex, GA 30273-1758 | 2020-07-15 |
| 1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
| 1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
| 1861016537 | Behavioral Health Professionals of Lagrange, LLC | Psychiatry & Neurology | 145 Maple Trce, Pine Mountain, GA 31822-2826 | 2020-05-29 |
| 1538796073 | Relax Medicine, LLC | Psychiatry & Neurology | 950 Herrington Rd Ste C215, Lawrenceville, GA 30044-7217 | 2020-03-25 |
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1992330492 | Oluwafunmilola Olusola Sulaimon | Psychiatry & Neurology | 6274 Baltusrol Trce, Fairburn, GA 30213-5122 | 2020-03-05 |
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1255988978 | Life Health and Rehab, LLC | Psychiatry & Neurology | 1637 Athens Hwy Ste A, Grayson, GA 30017-1768 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.